Insurance
CFP participates with many major insurance programs and managed care plans. You are expected to bring your insurance information with you to every visit. As a courtesy, we file your insurance claims for you, but you will be financially responsible for all non-covered services. There is certain information needed to be able to file a claim. If you are unable or unwilling to disclose this information, then you will be considered a self-pay patient and payment for services will be expected at the time the services are rendered. Please come to the office prepared to remit all insurance co-payments and/or deductibles.
Medicaid Eligibility Recertification: During the COVID-19 Public Health Emergency, all state Medicaid programs were required to pause annual eligibility recertifications and to provide continuous Medicaid coverage for it's recipients. Now that the Public Health Emergency is ending, Medicaid will begin the process of recertifying its beneficiaries. This means that Medicaid case workers will be reaching out to all of our patients that have Medicaid insurance to redetermine eligibility. Patients can help this process by verifying their contact information (phone number, address) on their ePass account. DSS will be mailing out forms for patients to fill out to see if they still qualify for Medicaid insurance. When you get the form, please return it right away to avoid a lapse in coverage and provide our office with the updated card.
Mission/HCA Employees: As of 01/01/2023, we are excluded from the Aetna and Medcost plans that are offered to employees of Mission Hospital. We do offer a very competitive self pay rate.
BE AWARE: We've found out that some of the insurance plans offered on the Healthcare Marketplace have location-based networks, meaning they may only cover emergency care in Western North Carolina. Some of the insurances that are listed below may be impacted, so if you have chosen a plan from the insurance marketplace, please contact your insurance carrier to confirm in-network coverage at Community Family Practice. Claims that are denied by insurance are billed to the patient.
- Aetna (some plans)
- Aetna Medicare Advantage Plan
- America's 1st Choice
- Assurant Health
- Blue Cross Blue Shield of NC
- Blue Cross State Health Plan
- NC Health Choice
- Champva
- Crescent/ACS Benefit Services
- Crescent/Appalachian Benefit Services
- Crescent/CWI
- Crescent/Coresource
- Crescent/Employee Benefit Services
- Crescent/HSR (Health Care Solutions)
- Crescent/Hewitt Coleman
- Crescent/Kanawha Health Care Solutions
- Crescent/Loomis
- Crescent/Medical Claims Management
- Crescent/National Benefit Administrators
- Crescent/Planned Administrators
- Crescent/Primary Physician Care
- Crescent/TPA Exchange
- Crescent/Wellpath Select
- Cigna
- Cigna Medicare Access
- Golden Rule/United Healthcare
- Humana Gold Medicare
- Inclusive Health
- Medcost (some plans)
- Medicare
- Medicare Railroad
- Medicaid: all Medicaid transformation plans
- Secure Horizons Medicare Advantage Plan
- Tricare (we file but we are out of network)
- UMR
- Unicare Medicare Advantage Plan
- United Healthcare
- Wellcare Medicare Advantage Plan
- Wellpath